| NPI | 1578517389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: MO 2016022749) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME95769) |
| 208600000X Surgery (Licence: MO 2016022749) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2018-11-20 |